Active NPI
Robert F Green, DPM
- Podiatrist
- N Ridgeville, OH
National Provider Identifier
1932298155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1982
- Practice address
- 38600 Center Ridge Rd
N Ridgeville, OH 44039-2837 - Phone
- (330) 467-3902
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1982 | OH | Primary |
Addresses
Primary practice location
38600 Center Ridge Rd
N Ridgeville, OH 44039-2837
Mailing address
PO Box 527
Northfield, OH 44067-0527
Phone (330) 467-3902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0444522 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932298155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 527",
"city": "NORTHFIELD",
"state": "OH",
"postal_code": "440670527",
"telephone_number": "330-467-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38600 CENTER RIDGE RD",
"city": "N RIDGEVILLE",
"state": "OH",
"postal_code": "440392837",
"telephone_number": "330-467-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ROBERT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "1982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0444522",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Ridgeville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.